IMPLEMENTATION OF BEST PRACTICE GOAL-SETTING IN FIVE REHABILITATION SERVICES: A MIXED-METHODS EVALUATION STUDY.
Objective: This implementation study aimed to enhance the key elements of clinical practice goalsetting across 5 rehabilitation services. Design: This study followed a participatory action research approach guided by the Knowledge to Action framework. Methods: Medical record audits and structured cl...
| Publicado en: | Journal of Rehabilitation Medicine (Medical Journals Sweden AB) Vol. 55; pp. 1 - 13 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Medical Journals Sweden AB
2023
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=174743378&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 174743378 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 16501977 AWMH jtl: Journal of Rehabilitation Medicine (Medical Journals Sweden AB) issn: 16501977 maglogo: N pubinfo: dt: 2023 vid: 55 pid: 59195 pub: Medical Journals Sweden AB artinfo: ui: 174743378 174743378 174743378 10.2340/jrm.v55.4471 174743378 ppf: 1 ppct: 12 formats: tig: atl: IMPLEMENTATION OF BEST PRACTICE GOAL-SETTING IN FIVE REHABILITATION SERVICES: A MIXED-METHODS EVALUATION STUDY. aug: au: BAKER, Amanda CORNWELL, Petrea GUSTAFSSON, Louise STEWART, Claire LANNIN, Natasha A. affil: School of Health Sciences and Social Work, Griffith University, Brisbane sug: subj: Goal-Setting Program Implementation Rehabilitation Centers Queensland Stroke Rehabilitation Implementation Science Human Multimethod Studies Evaluation Research Action Research Medical Records Audit Structured Interview Descriptive Statistics Queensland Pearson's Correlation Coefficient Chi Square Test Odds Ratio Confidence Intervals Data Analysis Software Funding Source ab: Objective: This implementation study aimed to enhance the key elements of clinical practice goalsetting across 5 rehabilitation services. Design: This study followed a participatory action research approach guided by the Knowledge to Action framework. Methods: Medical record audits and structured client interviews were conducted prior to and following 12 weeks of implementation, in order to evaluate the success of the goal-setting implementation package. Results: Medical record audits and interviews conducted pre-implementation (audits n = 132, interviews n = 64), post-implementation (audits n = 130, interviews n = 56) and at 3-month follow- up (audits n = 30) demonstrated varied success across sites. Following implementation 2 sites significantly improved their common goal focus (site 1 p ≤ 0.001, site 2 p = 0.005), these sites also demonstrated a significant increase in clients reporting that they received copies of their rehabilitation goals (site 1 p ≤ 0.001, site 2 p ≤ 0.001). Four sites improved client action planning, feedback and review, and 3 sites enhanced their specificity of goal-setting. At 3-month follow-up 4 sites had continued to improve their common goal focus; however, all sites decreased the specificity of their goal-setting. Conclusion: Elements of the implementation package were successful at enhancing the goal-setting process; however, how the package is implemented within the team may impact outcomes. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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